Apply to be a Barista at PH Coffee:Please fill out the form below and we’ll contact you. Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Mobile Phone * (###) ### #### Alternate Phone (###) ### #### Email * Employment Availability * Full Time Part Time Start Date * MM DD YYYY Currently Employed? If yes, please list employer below. Conflicts/Commitments * School, job, etc. Availability * Education High School Name/Location * Graduated? * Yes No Degrees Earned College/University * Graduated? * Yes No Degrees Earned * Other Training/Degrees Employment History Dates of Employment * From – To Employer Name & Location * Job Title/Position * Duties/Responsibilities * Salary/Wage * Immediate Supervisor * Reason for Leaving * Dates of Employment From – To Employer Name & Location Job Title/Position Duties/Responsibilities Salary/Wage Immediate Supervisor Reason for Leaving Dates of Employment Employer Name & Location Job Title/Position Duties/Responsibilities Salary/Wage Immediate Supervisor Reason for Leaving May we contact your present employer? * Yes No Thank you!
